A list of the most recent deficiencies for Embassy of Swanton. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-01 | 2023-07-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-07-06 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-01 | 2023-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-01 | 2023-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-01 | 2023-07-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-30 | 2023-07-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-01-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-17 | 2022-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-05-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-03 | 2022-05-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-30 | 2021-05-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-30 | 2021-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-30 | 2021-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-30 | 2021-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-30 | 2021-05-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-08 | 2021-05-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-08 | 2021-05-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-08 | 2021-05-21 | Y |
| Use approved construction type or materials. | Fire Safety | 2021-05-06 | 2021-05-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-06 | 2021-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-08 | 2021-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-08 | 2021-04-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-08 | 2021-04-30 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-03-08 | 2021-04-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-08 | 2021-04-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-21 | 2019-03-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-21 | 2019-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-21 | 2019-03-25 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-02-21 | 2019-03-25 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-20 | 2019-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-20 | 2019-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-20 | 2019-03-25 | N |
